Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting

By fining a previously published nonlinear model for generating realistic ECG to waveforms collected from a healthy human subject, and using a nonlinear leastsquares optimization procedure, the authors demonstrate that significant points (P, Q, R, S, and T) on the ECG can be determined to an arbitra...

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Main Authors: Clifford, G, McSharry, P
Format: Journal article
Language:English
Published: 2005
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author Clifford, G
McSharry, P
author_facet Clifford, G
McSharry, P
author_sort Clifford, G
collection OXFORD
description By fining a previously published nonlinear model for generating realistic ECG to waveforms collected from a healthy human subject, and using a nonlinear leastsquares optimization procedure, the authors demonstrate that significant points (P, Q, R, S, and T) on the ECG can be determined to an arbitrary accuracy. The model-fitting routine runs in real-time on a 3GHz PC. Coloured (1/fβ) noise is then added to the ECG in order to evaluate the fitting accuracy under a variety of recording conditions. A method for determining noise levels (and colour) in real ECGs using the residual of a singular valued decomposition is described. Furthermore, a method for evaluating the filter is described which allows an application-specific evaluation of the filter in terms of the distortion in the QRS width and amplitude, the ST-level, the QT interval, the PR-interval, and the fiducial point location. Using these methods, the model-based filter is shown to introduce insignificant clinical distortion in the QT interval and QRS width down to an SNR≥ 0dB for β < 2. The fiducial point location is shown to be insignificantly distorted (< 1ms) for an SNR≥ 2dB, and the ST-level is stable down to SNR> 12dB. PR interval is more sensitive to noise due to the low amplitude nature of the P-wave. In general, the filter performance is degraded by increasing β. © 2005 IEEE.
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spelling oxford-uuid:8316ecc3-4e4a-4a5e-af41-28ef0b3427ba2022-03-26T21:41:55ZMethod to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fittingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8316ecc3-4e4a-4a5e-af41-28ef0b3427baEnglishSymplectic Elements at Oxford2005Clifford, GMcSharry, PBy fining a previously published nonlinear model for generating realistic ECG to waveforms collected from a healthy human subject, and using a nonlinear leastsquares optimization procedure, the authors demonstrate that significant points (P, Q, R, S, and T) on the ECG can be determined to an arbitrary accuracy. The model-fitting routine runs in real-time on a 3GHz PC. Coloured (1/fβ) noise is then added to the ECG in order to evaluate the fitting accuracy under a variety of recording conditions. A method for determining noise levels (and colour) in real ECGs using the residual of a singular valued decomposition is described. Furthermore, a method for evaluating the filter is described which allows an application-specific evaluation of the filter in terms of the distortion in the QRS width and amplitude, the ST-level, the QT interval, the PR-interval, and the fiducial point location. Using these methods, the model-based filter is shown to introduce insignificant clinical distortion in the QT interval and QRS width down to an SNR≥ 0dB for β < 2. The fiducial point location is shown to be insignificantly distorted (< 1ms) for an SNR≥ 2dB, and the ST-level is stable down to SNR> 12dB. PR interval is more sensitive to noise due to the low amplitude nature of the P-wave. In general, the filter performance is degraded by increasing β. © 2005 IEEE.
spellingShingle Clifford, G
McSharry, P
Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title_full Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title_fullStr Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title_full_unstemmed Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title_short Method to filter ECGs and evaluate clinical parameter distortion using realistic ECG model parameter fitting
title_sort method to filter ecgs and evaluate clinical parameter distortion using realistic ecg model parameter fitting
work_keys_str_mv AT cliffordg methodtofilterecgsandevaluateclinicalparameterdistortionusingrealisticecgmodelparameterfitting
AT mcsharryp methodtofilterecgsandevaluateclinicalparameterdistortionusingrealisticecgmodelparameterfitting